World Journal of
Pharmaceutical and Life Sciences

COMPARING THE RIPASA SCORE WITH THE ALVARADO SCORE IN DIAGNOSING ACUTE APPENDICITIS IN PATIENTS ATTENDING AL-SHAHID AL-SADR GENERAL HOSPITAL

*Dr. Khidhir Abbas Aliwii Al-Shmailawi, Dr. Kadhim Hadi Badr Al Salloomee and Dr. Sahib Baqer Abdulhusein Mudhafar

ABSTRACT

Appendicitis is one of the most frequently experienced abdominal surgery. The acute appendicitis diagnosis is primarily in the form of symptoms and signs. Symptoms of acute appendicitis at an early stage of presentation overlap with other conditions that make the diagnosis a challenging task. The Alvarado score and RIPASA score allow for risk stratification of abdominal pain patients, which links the likelihood of appendicitis to recommendations for discharge, observation and surgery. This study aimed to compare between the Alvarado score and RIPASA score in the diagnosis of acute appendicitis in patients attending the Al-Shahid Al-Sadr general hospital in Baghdad/Iraq. The descriptive prospective study was carried on (50) patients of both sexes with an apparent clinical picture of acute appendicitis aged (19-59) years. Pregnant women were excluded from the study. Results showed that the sample mean age was 23±14 years. The Alvarado scoring system’s sensitivity and specificity were 83% and 67% respectively, while the sensitivity and specificity of RIPASA scoring system was 95% and 67% respectively. It can be concluded from our study that the RIPASA score is currently a better diagnostic scoring system than the Alvarado score with higher sensitivity, specificity, positive prediction, negative prediction and diagnostic correctness.

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